Avascular necrosis in systemic lupus erythematosus patients: Analysis of the demographics, clinical manifestations, management and outcomes

Khan, Asadullah; Shamim, Roshila; Wagan, Abrar Ahmed; Khan, Sarah; Ahmed, Syed Nazeer; Haroon, Muhammad

doi:10.1016/j.ejr.2023.05.002

Cited by 1 publication

(1 citation statement)

References 27 publications

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“…Adults with cSLE may need more careful screening and management of osteopenia than their adult-onset counterparts. Similarly, adults with cSLE are at especially high risk of avascular necrosis (AVN); therefore, sudden-onset pain, especially of the hip, thigh/groin, or knee, should be evaluated promptly for new-onset AVN 56 …”

Section: Disease-specific Carementioning

confidence: 99%

Transition to Adult Rheumatology Care: A Disease-Specific Guide

Cintron,

Chang,

Sadun

2024

J Clin Rheumatol

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Young adults with childhood-onset rheumatic diseases are more frequently establishing and continuing care with adult rheumatologists. The transfer of care can be challenging for both the young adult patients and their adult rheumatologists, in large part due to differences between pediatric-onset rheumatic diseases and their adult-onset counterparts, or due to the rarity of some pediatric-onset rheumatic conditions. Other challenges are due to cultural differences between pediatric and adult medical care and to the young adult needing to increasingly perform self-management skills that were previously managed by parents or other caregivers. In this review, we will provide a summary of strategies for working effectively with young adults as they transition to adult care. We will then discuss a subset of childhood-onset rheumatic diseases—including juvenile idiopathic arthritis, localized scleroderma, autoinflammatory diseases, pediatric-onset systemic lupus erythematosus, juvenile-onset dermatomyositis, and autoimmune encephalitis—for which clinical manifestations, management, and prognosis frequently differ between pediatric onset and adult onset. Our aim is to highlight differences that make caring for this population of transitioning young adults unique, providing tools and knowledge to empower the adult rheumatologist to care for these young adults in ways that are evidence-based, effective, efficient, and rewarding.

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Section: Disease-specific Carementioning

confidence: 99%